Large sphenoid mucocele presenting with cranial neuropathies in a 10-year-old boy: case report and literature review

Henry Chang, Michael Silva, John Weng, Erin Reilly, Corinna Levine, Heather J. McCrea

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction: Mucoceles in the sphenoid sinus are rare, making up 1–3% of all paranasal sinus mucoceles. Sphenoid sinus mucoceles among pediatric patients are uncommon and have a range of presentations due to their proximity to other structures, in rare cases causing oculomotor and visual disturbances through expansion and mass effect. Case report: We present a case of a large expansile sphenoid sinus mucocele causing cranial nerve III and VI palsies in a 10-year-old boy. Endoscopic resection of the mucocele was performed for diagnosis and decompression, leading to immediate relief of the patient’s symptoms and improvement in cranial nerve function. Post-operative imaging showed complete resolution of the mucocele. Conclusion: Our case report and review of the current literature emphasizes that prompt diagnosis and intervention can lead to a good clinical outcome and prevention of permanent cranial neuropathy.

Original languageEnglish (US)
JournalChild's Nervous System
DOIs
StateAccepted/In press - 2021

Keywords

  • Cranial neuropathy
  • Mucocele
  • Pediatric
  • Sphenoid sinus

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Clinical Neurology

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